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#6097 of 11K

72200

HCPCS Procedure Code

HCPCS code 72200 is the #6,097 most-billed Medicaid procedure code, with $96K in payments across 7K claims from 2018–2024. The national median cost per claim is $16.61. Costs vary widely — the 90th percentile is $42.49 per claim, 2.6× the median.

Total Paid

$96K

0.00% of all spending

Total Claims

7K

Providers

37

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 72200? Based on 35 providers billing this code nationally.

Median

$16.61

Average

$19.71

Std Dev

$16.11

Max

$68.80

Percentile Distribution (Cost per Claim)

p10
$5.29
p25
$8.29
Median
$16.61
p75
$26.49
p90
$42.49
p95
$52.20
p99
$65.96

50% of providers bill between $8.29 and $26.49 per claim for this code.

90% bill between $5.29 and $42.49.

Top 1% bill above $65.96.

About This Procedure

HCPCS code 72200 was billed by 37 providers across 7K claims, totaling $96K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.61

Providers Billing

35

National Spending

$96K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72200

#ProviderTotal Paid
11184610248$21K
2The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$19K
3Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$9K
41245340231$8K
5Akron General Medical Center

Akron, OH · General Acute Care Hospital

$5K
61275596439$5K
71740364785$4K
81740283324$4K
91427536325$4K
10Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$3K
11Kennedy University Hospital Inc.

Stratford, NJ · General Acute Care Hospital

$2K
121811996192$2K
13Tarrant County Hospital District

Fort Worth, TX · Clinic/Center, Ambulatory Family Planning Facility

$2K
14Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$1K
151326485749$891
161124136593$725
17Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$511
181184656829$480
19Arthritis & Rheumatology Associates Of South Jersey Pc

Vineland, NJ · Internal Medicine Rheumatology

$467
201396144341$400

Showing top 20 of 37 providers billing this code